Interfacial chemistry of the dentin/adhesive bond

The Effect of Tooth-preparation Cleansing Protocol on the Bond Strength of Self-adhesive Resin Cement to Dentin Contaminated with a Hemostatic Agent

After contamination with hemostatic agents, tooth-preparation cleansing protocols using either particle abrasion with low-pressure aluminum oxide particles or phosphoric acid-etching restored bond strengths to pre-contamination levels for a self-adhesive resin cement.

Quantitative analysis of adhesive resin in the hybrid layer using Raman spectroscopy

The objective was to determine absolute molar concentration of adhesive resin components in the hybrid layer by establishing methods based on Raman spectroscopy fundamentals. The hybrid layer was treated as a three-component system consisting of collagen and an adhesive resin containing two monomers. Adhesive standard specimens and Raman peak area ratios obtained with a 785 nm excitation wavelength were used to construct separate calibration curves for comonomer relative molar concentration and Bis-GMA absolute molar concentration. As collagen and water had no measurable peaks in the fingerprint region, a dilution coefficient K(j) was defined to describe their impact on Raman peak area and to calculate HEMA absolute molar concentration. Methodology was validated using an analogous system containing acetone/ethanol/water. The absolute molar concentration of Bis-GMA and HEMA decreased 87% and 83%, respectively, from the top quarter to the middle of the hybrid layer. Additionally, less Bis-GMA penetrated the hybrid layer than HEMA, as indicated by the approximately 20% decrease in comonomer molar concentration ratio between the adhesive resin layer and the top half of the hybrid layer. Lack of complete monomer infiltration will further challenge dentin-adhesive bond longevity. (c) 2010 Wiley Periodicals, Inc. J Biomed Mater Res, 2010.

Grape seed proanthocyanidins increase collagen biodegradation resistance in the dentin/adhesive interface when included in an adhesive

OBJECTIVES

Contemporary methods of dentin bonding could create hybrid layers (HLs) containing voids and exposed, demineralised collagen fibres. Proanthocyanidins (PA) have been shown to cross-link and strengthen demineralised dentin collagen, but their effects on collagen degradation within the HL have not been widely studied. The purpose of this study was to compare the morphological differences of HLs created by BisGMA/HEMA model adhesives with and without the addition of grape seed extract PA under conditions of enzymatic collagen degradation.

METHODS

Model adhesives formulated with and without 5% PA were bonded to the acid etched dentin. 5-μm-thick sections cut from the bonded specimens were stained with Goldner's trichrome. The specimens were then exposed to 0.1% collagenase solution for 0, 1, or 6 days. Following collagenase treatment, the specimens were analysed with SEM/TEM.

RESULTS

Staining did not reveal a difference in the HLs created with the two adhesives. SEM showed the presence of intact collagen fibrils in all collagenase treatment conditions for specimens bonded with adhesive containing PA. These integral collagen fibrils were not observed in the specimens bonded with adhesive without PA after the same collagenase treatment. TEM confirmed that the specimens containing PA still showed normal collagen fibril organisation and dimensions after treatment with collagenase solution. In contrast, disorganised collagen fibrils in the interfacial zone lacked the typical cross-banding of normal collagen after collagenase treatment for specimens without PA.

CONCLUSIONS

The presence of grape seed extract PA in dental adhesives may inhibit the biodegradation of unprotected collagen fibrils within the HL.

Effect of monomer composition on crystal growth by resin containing bioglass

This study evaluated the effect of resin monomer composition on crystal growth at the interface between the resin/bioglass composites and water. Light-cured resin that contained 2-bis[4(2-hydroxy-3-methacryloyloxy-propyloxy)-phenyl], 2-hydroxyethyl methacrylate, and triethylene glycol dimethacrylate with different compositions were used. Resin/bioglass composites were prepared with 40 mass% bioglass and 60 mass% resin. The resin/bioglass composites were stored in deionized distilled water for 24 h (control group) or 3-12 months (experimental groups). After water storage, the disk surfaces were examined by light- and scanning electron microscopy. Chemical states of the crystals were analyzed by laser-Raman spectroscopy and micro-X-ray diffractometry. The microscopic analysis showed crystal on the resin disks surface after six months of water storage for hydrophilic resins. However, there was no crystal formation in the control and the experimental groups of specimens of hydrophobic resins. Raman analysis showed the chemical states of the crystals formed on the resin matrix and bioglass to be different. The micro-X-ray analysis of crystals on resin disks identified them to be calcium carbonate. This crystal formation occurred in water instead of simulated body fluid. In conclusion, the resin monomer compositions affected the ability to induce crystal growth on the surfaces of disks containing bioglass.

Adhesive/Dentin interface: the weak link in the composite restoration

Results from clinical studies suggest that more than half of the 166 million dental restorations that were placed in the United States in 2005 were replacements for failed restorations. This emphasis on replacement therapy is expected to grow as dentists use composite as opposed to dental amalgam to restore moderate to large posterior lesions. Composite restorations have higher failure rates, more recurrent caries, and increased frequency of replacement as compared to amalgam. Penetration of bacterial enzymes, oral fluids, and bacteria into the crevices between the tooth and composite undermines the restoration and leads to recurrent decay and premature failure. Under in vivo conditions the bond formed at the adhesive/dentin interface can be the first defense against these noxious, damaging substances. The intent of this article is to review structural aspects of the clinical substrate that impact bond formation at the adhesive/dentin interface; to examine physico-chemical factors that affect the integrity and durability of the adhesive/dentin interfacial bond; and to explore how these factors act synergistically with mechanical forces to undermine the composite restoration. The article will examine the various avenues that have been pursued to address these problems and it will explore how alterations in material chemistry could address the detrimental impact of physico-chemical stresses on the bond formed at the adhesive/dentin interface.

A review--micromorphological evidence of degradation in resin-dentin bonds and potential preventional solutions

Resin adhesion to dentin was first achieved in 1982 through mechanical hybridization between resin and collagen fibrils using an adhesive resin containing a functional monomer. Over the last 2 decades, newly developed adhesive resins have attempted to improve the bond strength at least in the first 24 h after bonding. Although much is known about the initial bond strength, learned through morphological analysis, the long-term durability of bonds has not yet been established analytically. However, numerous recent studies have shown chemical biodegradation of resin-dentin bonds under various testing regimes. In general, studies have shown that dentin bond strength decreases over time due to degradation of the resin and the collagen fibrils within the bonds. Furthermore, crystal formation around cured bonding resins has been reported in a number of adhesives after long-term water storage. However, the extent and process of degradation or crystallization is adhesive type specific. This review mainly summarizes the most recent and state of the art work in degradation of the bonding of dental restorative compounds with dentin based on micromorphological data of scanning and transmission electron microscopy.

An all-in-one adhesive does not etch beyond hybrid layers

Continuous etching of aggressive all-in-one adhesives occurs in wet dentin tubules after polymerization of the adhesives. This study challenged the hypothesis that unpolymerized acidic monomers from an aggressive all-in-one self-etching adhesive continue to etch beyond dentin hybrid layers. Dentin surfaces bonded with Adper Prompt L-Pop were sectioned into 0.3-mm-thick slabs. Some of the slabs were stored in water (pH 6.8) or glycine buffer (pH 11.1) for six weeks and then examined by CLSM, SEM, and TEM. The rest were immersed in a biomimetic remineralizing medium for up to 4 months. Morphologic analysis indicated no difference in demineralization thickness between the two 6-week storage groups. However, increased permeability and loss of integrity occurred along the base of the hybrid layers in the glycine buffer group, but not in the water storage group. These findings were also confirmed by the results of biomimetic remineralization along the bases of those hybrid layers.

Bond strength of adhesives to dentin contaminated with smoker's saliva

The purpose of this study was to determine the effects of contamination with smoker's and non-smoker's saliva on the bond strength of resin composite to superficial dentin using different adhesive systems. The interfacial structure between the resin and dentin was evaluated for each treatment using environmental scanning electron microscopy (ESEM). Freshly extracted human molars were ground with 600-grit SiC paper to expose the superficial dentin. Adhesives [One-Up-Bond-F-Plus (OUFP) and Adper-Prompt-L-Pop (APLP)] and resin composite (TPHSpectrum) were bonded to the dentin (n = 8/group, 180 total specimens) under five surface conditions: control (adhesive applied following manufacturers' instructions); saliva, then 5-s air dry, then adhesive; adhesive, saliva, 5-s air dry; adhesive, saliva, 5-s water rinse, 5-s air dry (ASW group); and adhesive, saliva, 5-s water rinse, 5-s air dry, reapply adhesive (ASWA group). After storage in water at 37 degrees C for 24 h, the specimens were debonded under tension at a speed of 0.5 mm/min. ESEM photomicrographs of the dentin/adhesive interfaces were taken. Mean bond strength ranged from 8.1 to 24.1 MPa. Fisher's protected least significant difference (P = 0.05) intervals for critical adhesive, saliva, and surface condition differences were 1.3, 1.3, and 2.1 MPa, respectively. There were no significant differences in bond strength to dentin between contamination by smoker's and nonsmoker's saliva, but bond strengths were significantly different between adhesive systems, with OUFP twice as strong as APLP under almost all conditions. After adhesive application and contamination with either smoker's or nonsmoker's saliva followed by washing and reapplication of the adhesive (ASWA group), the bond strength of both adhesive systems was the same as that of the control group.

Effect of dentinal water on bonding of self-etching adhesives

This study examined the effect of dentinal water on bonding, comparing one-bottle and two-step self-etching adhesives using microtensile bond test and scanning electron microscope. The bond strength of resin to dentin was measured for wet dentin (control) and dry dentin substrates. Wet dentin is the normal substrate for bond testing, whereas dry dentin was dehydrated in a desiccator at different drying times (5 to 60 min) before bonding. After bond testing, the fractured surfaces were examined. Although no correlation was found for two-step self-etching adhesives, the bond strength of the dry-dentin was significantly increased with the increase in the drying-time for one-bottle adhesives. With increased drying-time, the amount of water-bubbles was decreased for one-bottle adhesives; however, no bubble formation was seen in two-step adhesives in any group. The hydrophilic resin adhesive may entrap the water from dentin by osmosis during and after bonding. This effect may depend on the "hydrophilicity" of adhesives.

Characterization of interfacial chemistry of adhesive/dentin bond using FTIR chemical imaging with univariate and multivariate data processing

Fourier transform infrared (FTIR) chemical imaging can be used to investigate molecular chemical features of the adhesive/dentin interfaces. However, the information is not straightforward and is not easily extracted. The objective of this study was to use multivariate analysis methods, principal component analysis, and fuzzy c-means clustering and to analyze spectral data in comparison with univariate analysis. The spectral imaging data collected from both the adhesive/healthy dentin and adhesive/caries-affected dentin specimens were used and compared. The univariate statistical methods such as mapping of intensities of specific functional group do not always accurately identify functional group locations and concentrations because of more or less band overlapping in adhesive and dentin. Apart from the ease with which information can be extracted, multivariate methods highlight subtle and often important changes in the spectra that are difficult to observe using univariate methods. The results showed that the multivariate methods gave more satisfactory, interpretable results than univariate methods and were conclusive in showing that they can discriminate and classify differences between healthy dentin and caries-affected dentin within the interfacial regions. It is demonstrated that the multivariate FTIR imaging approaches can be used in the rapid characterization of heterogeneous, complex structure.

Enzyme-catalyzed hydrolysis of dentin adhesives containing a new urethane-based trimethacrylate monomer

A new trimethacrylate monomer with urethane-linked groups, 1,1,1-tri-[4-(methacryloxyethylamino-carbonyloxy)-phenyl]ethane (MPE), was synthesized, characterized, and used as a comonomer in dentin adhesives. Dentin adhesives containing 2-hydroxyethyl methacrylate (HEMA, 45% w/w) and 2,2-bis[4(2-hydroxy-3-methacryloyloxy-propyloxy)-phenyl] propane (BisGMA, 30% w/w) in addition to MPE (25% w/w) were formulated with H(2)O at 0 (MPE0), 8 (MPE8), and 16 wt % water (MPE16) to simulate the wet demineralized dentin matrix and compared with controls [HEMA /BisGMA, 45/55 w/w, at 0 (C0), 8 (C8), and 16 wt % water (C16)]. The new adhesive showed a degree of double bond conversion and mechanical properties comparable with control, with good penetration into the dentin surface and a uniform adhesive/dentin interface. On exposure to porcine liver esterase, the net cumulative methacrylic acid (MAA) released from the new adhesives was dramatically (p < 0.05) decreased relative to the control, suggesting that the new monomer improves esterase resistance.

A 36-month Clinical Evaluation of Ethanol/Water and Acetone-based Etch-and-Rinse Adhesives in Non-carious Cervical Lesions

Based on the findings of this clinical trial, one may conclude that non-carious cervical lesions should be restored with the ethanol/water-based two-step etch-and-rinse adhesive Single Bond, instead of the acetone-based One Step, as the latter presents a high number of debonded restorations after short- and long-term recalls. However, other literature findings should also be taken into account before reaching a clinical decision.

Morphological and chemical characterization of bonding hydrophobic adhesive to dentin using ethanol wet bonding technique

OBJECTIVE

BisGMA, a widely used component in dentin adhesive has very good mechanical properties after curing, but is relatively hydrophobic and thus, does not adequately infiltrate the water wet demineralized dentin collagen. Developing techniques that would lead to optimum infiltration of the hydrophobic component into the demineralized dentin matrix is very important. The purpose of this study was to evaluate interfacial morphological and chemical characteristics of the resultant adhesive-dentin interface when the ethanol wet bonding technique is used with hydrophobic adhesives.

MATERIALS AND METHODS

The occlusal one-third of the crown was removed from six unerupted human third molars; a uniform smear layer was created with 600 grit SiC. The dentin surface was etched with 35% phosphoric acid for 15s before applying BisGMA/HEMA model adhesive using either water wet or ethanol wet bonding technique. Five-micro-thick sections of adhesive/dentin interface specimens were cut and stained with Goldner's trichrome for light microscopy. Companion slabs were analyzed with SEM and micro-Raman spectroscopy.

RESULTS

The presence of ethanol in the demineralized dentin increased adhesive collagen encapsulation as indicated by trichrome staining. The SEM results confirmed that the ethanol wet bonding improved the quality of the interface. Micro-Raman spectral analysis of the dentin/adhesive interface indicated there was a gradual decrease in penetration of BisGMA component for specimens using water wet bonding, while relatively homogeneous distribution of the hydrophobic BisGMA component was noted in the interface with ethanol wet bonding.

SIGNIFICANCE

Wet bonding with ethanol instead of water permits better BisGMA infiltration improving the quality of interface. We speculate that the higher infiltration of hydrophobic BisGMA and better collagen encapsulation observed from the specimens using ethanol wet bonding would lead to more durable bonds because of improved resistance to hydrolytic attack.

Effects of simulated functional loading conditions on dentin, composite, and laminate structures

Use of composite restorations continues to increase, tempered by more potential problems when placed in posterior dentition. Thus, it is essential to understand how these materials function under stress-bearing clinical conditions. Because mastication is difficult to replicate in the laboratory, cyclic loading is frequently used within in vitro evaluations but often employs traditional fatigue testing, which typically does not simulate occlusal loading because higher stresses and loading frequencies are used, so failure mechanisms may be different. This investigation utilized relevant parameters (specimen size, loading frequency) to assess the effects of cyclic loading on flexural mechanical properties and fracture morphology of (coronal) dentin, composite, and dentin-adhesive-composite "laminate" structures. Incremental monitoring of flexural modulus on individual beams over 60,000 loading cycles revealed a gradual increase across materials; post hoc comparisons indicated statistical significance only for 1 versus 60k cycles. Paired specimens were tested (one exposed to 60k loading cycles, one to static loading only), and comparisons of flexural modulus and strength showed statistically significantly higher values for cyclically loaded specimens across materials, with no observable differences in fracture morphology. Localized reorganization of dentin collagen and polymer chains could have increased flexural modulus and strength during cyclic loading, which may have implications toward the life and failure mechanisms of clinical restorations and underlying tooth structure.

Demineralized dentin 3D porosity and pore size distribution using mercury porosimetry

OBJECTIVES

The objectives of this study were to assess demineralized dentin porosity and quantify the different porous features distribution within the material using mercury intrusion porosimetry (MIP) technique. We compared hexamethyldisilazane (HMDS) drying and lyophilization (LYO) (freeze-drying) in sample preparation.

METHODS

Fifty-six dentin discs were assigned into three groups. The control (CTR) group discs were superficially acid-etched (15s 37% H(3)PO(4)) to remove the smear layer and then freeze-dried whereas LYO and HMDS groups samples were first totally demineralized using EDTA 0.5M and then freeze-dried and HMDS-dried respectively. MIP was used to determine open porosity and pore size distribution of each pair of samples. Field emission scanning electron microscopy (FESEM) was used to illustrate the results.

RESULTS

The results showed two types of pores corresponding either to tubules and micro-branches or to inter-fibrillar spaces created by demineralization. Global porosity varied from 59% (HMDS-dried samples) to 70% (freeze-dried samples). Lyophilization drying technique seems to lead to less shrinkage than HMDS drying. FESEM revealed that collagen fibers of demineralized lyophilized samples are less melted together than in the HMDS-dried samples.

SIGNIFICANCE

Demineralized dentin porosity is a key parameter in dentin bonding that will influence the hybrid layer quality. Its characterization could be helpful to improve the monomers infiltration.

Impact of Adhesive Application and Moisture on the Mechanical Properties of the Adhesive Interface Determined by the Nano-indentation Technique

The vigorous rubbing action of acetone and ethanol/water-based adhesives into dry demineralized dentin resulted in high nanohardness and Young's modulus in the hybrid layer, and moisture increased the nanohardness and Young's modulus of Adper Single Bond Plus in the adhesive layer.

Adhesion to tooth structure mediated by contemporary bonding systems

Given the enormity of the field of adhesion and the number of commercial products available, the discipline of modern adhesive dentistry can be daunting with respect to materials and techniques. This article organizes contemporary bonding practice and materials around an understanding of the fundamentals of adhesion to tooth structure. In providing this context, adhesive development, bonding systems, and their appropriate use are better understood. The end result is the better practice of adhesive dentistry.

Influence of differently oriented dentin surfaces and the regional variation of specimens on adhesive layer thickness and bond strength

STATEMENT OF THE PROBLEM

Adhesive systems can spread differently onto a substrate and, consequently, influence bonding.

PURPOSE

The purpose of this study was to evaluate the effect of differently oriented dentin surfaces and the regional variation of specimens on adhesive layer thickness and microtensile bond strength (MTBS).

MATERIALS AND METHODS

Twenty-four molars were sectioned mesiodistally to expose flat buccal and lingual halves. Standardized drop volumes of adhesive systems (Single Bond [SB] and Prime & Bond 2.1 [PB2.1]) were applied to dentin according to the manufacturer's instructions. Teeth halves were randomly divided into groups: 1A-SB/parallel to gravity; 1B-SB/perpendicular to gravity; 2A-PB2.1/parallel to gravity; and 2B-PB2.1/perpendicular to gravity. The bonded assemblies were stored in 37 degrees C distilled water for 24 hours and then sectioned to obtain dentin sticks (0.8 mm2). The adhesive layer thickness was determined in a light microscope (x200), and after 48 hours the specimens were subjected to MTBS test. Data were analyzed by one-way and two-way analysis of variance and Student-Newman-Keuls tests.

RESULTS

Mean values (MPa +/- SD) of MTBS were: 39.1 +/- 12.9 (1A); 32.9 +/- 12.4 (1B); 52.9 +/- 15.2 (2A); and 52.3 +/- 16.5 (2B). The adhesive systems' thicknesses (microm +/- SD) were: 11.2 +/- 2.9 (1A); 18.1 +/- 7.3 (1B); 4.2 +/- 1.8 (2A); and 3.9 +/- 1.3 (2B). No correlation between bond strength and adhesive layer thickness for both SB and PB2.1 (r = -0.224, p = 0.112 and r = 0.099, p = 0.491, respectively) was observed.

CONCLUSIONS

The differently oriented dentin surfaces and the regional variation of specimens on the adhesive layer thickness are material-dependent. These variables do not influence the adhesive systems' bond strength to dentin. CLINICAL SIGNIFICANCE Adhesive systems have different viscosities and spread differently onto a substrate, influencing the bond strength and also the adhesive layer thickness. Adhesive thickness does not influence dentin bond strength, but it may impair adequate solvent evaporation, polymer conversion, and may also determine water sorption and adhesive degradation over time. In the literature, many studies have shown that the adhesive layer is a permeable membrane and can fail over time because of its continuous plasticizing and degradation when in contact with water. Therefore, avoiding thick adhesive layers may minimize these problems and provide long-term success for adhesive restorations.

Crystal growth by fluoridated adhesive resins

OBJECTIVE

This investigation was carried out to evaluate the long-term effects of fluoride-releasing adhesive resins on structural changes in standardized fluid-filled gaps simulating microleakage between the materials and the tooth surface in vitro.

METHODS

Three commercially available fluoride-releasing resin adhesives (One-Up Bond F, OptiBond Solo, and Reactmer Bond) were used in this study. Cured disks of resin adhesive were placed over flat human tooth surfaces (enamel and dentin), separated by a standardized 40microm interfacial gap and stored in distilled water for 24h (control group) or 1000 days (experimental group). After 1000 days of water storage, the resins were detached from the teeth and the opposing surfaces were examined by scanning electron microscopy (SEM). In addition, chemical structural analysis was performed by laser-Raman spectroscopy.

RESULTS

The SEM microphotographs showed numerous crystal types on the enamel, dentin, and resin surfaces after 1000 days of water storage for OptiBond Solo and Reactmer Bond. However, there was no crystal formation in the control specimens and the aged specimens of One-Up Bond F. Raman analysis showed several peaks (463, 618, and 990cm(-1)) from the crystals of OptiBond Solo that were not identified in the enamel, dentin, or cured resin.

SIGNIFICANCE

In conclusion, two of the three tested fluoride-release resin adhesives (OptiBond Solo and Reactmer Bond) have the ability to induce crystal growth within gaps between the adhesive and teeth in long-term water storage. These results suggest that the two adhesive resins have self-reparative ability with regard to bond leakage.

Application of multivariate spectral analyses in micro-Raman imaging to unveil structural/chemical features of the adhesive/dentin interface

This study presents the application of multivariate analyses to analyze micro-Raman spectral imaging data in reference to the adhesive/dentin interface as well as comparison with univariate analysis. The univariate statistical methods, such as mapping of specific functional group peak intensities, do not always detect functional group positions and quantities due to peak overlapping. A comprehensive chemical analysis of the adhesive/dentin interface, along with the multivariate statistical methods, principal component analysis, and fuzzy c-means clustering, is studied. Compared to univariate analysis, multivariate methods present the entire hyperspectral information from the specimen in a concise and uncorrelated way. Apart from the ease with which information can be extracted and presented, multivariate methods also highlight minute and often important variations in the spectra that are difficult to observe using univariate methods. The results show for the first time the clear chemical and structural classifications in the adhesive/dentin interface at successively greater resolutions.

Effects of water content and initiator composition on photopolymerization of a model BisGMA/HEMA resin

AIMS

The purpose of this study was to evaluate the effects of photoinitiator type and water content on the polymerization rate (Rp) and degree of conversion (DC) of a model BisGMA/HEMA-based resin.

MATERIALS AND METHODS

The comonomer mixture consisted of BisGMA/HEMA (60/40 by weight). Different two- or three-component photoinitiator systems were incorporated. Two-component systems were 0.5% CQ (camphorquinone) and 0.5% DMAEMA (2-(dimethylamino) ethyl methacrylate) or 0.5% CQ and 0.5% 4E (ethyl 4-dimethylaminobenzoate). The three-component systems were added 1% DPIHP (diphenyliodonium hexafluorophosphate) to the above systems. Each system was tested as made, or after addition of 5, 10, 15wt% water. When cured under a conventional dental light, the Rp and DC of each formulation was determined using time-resolved attenuated total reflection (ATR)-Fourier transform infrared (FTIR) spectroscopy.

RESULTS

For mixtures containing two-component initiator systems, when the hydrophobic initiator CQ was used in combination with hydrophilic DMAEMA, Rps and DCs were dramatically decreased as a function of water content. The Rps and DCs of the hydrophobic CQ/4E system were higher than those of the CQ/DMAEMA system in the presence of water. For three-component initiator systems, incorporation of DPIHP enhanced the polymerization of all mixtures in the presence of water compared to their counterpart two-component initiators. Interestingly, the CQ/DMAEMA caused greater DC and Rp when DPIHP was used.

SIGNIFICANCE

The hydrophobicity/hydrophilicity of photoinitiator components significantly affects both the DC as well as Rp when in the presence of water. The results indicate that formulation of photoinitiator components should be based on the effectiveness of the bonding systems under both dry and wet conditions.

Effect of solvent content on resin hybridization in wet dentin bonding

With wet bonding techniques, the channels between the demineralized dentin collagen fibrils are filled with debris, solvent, and water. Commercial adhesives include solvents such as ethanol or acetone to facilitate resin-infiltration into this wet substrate. Under in vivo conditions, the solvent may be diluted because of repeated exposure of the material to the atmosphere, or concentrated because of separation of the bonding liquids into layers within the bottle. The purpose of this study was to investigate the effect of different concentrations of ethanol (10-50%) on infiltration of the adhesive resin and collagen fibril encapsulation in the adhesive/dentin interface using light microscopy, micro-Raman spectroscopy, and scanning electron microscopy. The results indicated that under wet bonding conditions the hybridization process was highly sensitive to the initial solvent concentration in the adhesive system. The staining and scanning electron microscopy results showed that the quality of the interfacial hybrid layer was poor at the lower (10%) or higher (50%) ethanol content. Micro-Raman analysis indicated that there was a distinct difference in the degree of adhesive penetration among adhesives containing different concentrations of ethanol. Adhesives containing 10 or 50% ethanol did not realize effective penetration; the penetration of the adhesive monomers increased dramatically when the initial ethanol content was 30%. The amount of solvents are essential for achieving effective bonding to dentin.

Evaluation of intermolecular interactions of self-etch dentin adhesive primer molecules with type 1 collagen: computer modeling and in vitro binding analysis

The objective of this investigation was to study adhesion of self-etch primer systems to dentin by computer-modeled docking simulations and in vitro binding assay methods. Computer modeling employed analysis of docking simulations of a self-etch primer molecule 10-methacryloxydecamethylene phosphoric acid (MDP) and its calcium salt (MDPCa) as ligands. Typical type 1 collagen segments were selected as targets to reflect potential differences in the amino acid residues in dentinal type 1 collagen triple helix motif. The binding assay involved immunochemical analysis of the modification of anti-collagen binding to collagen by prior exposure of the demineralized dentin to MDP. The estimated mean docking energy values ranged between -4.5 and -8.9kcalmol(-1). The results revealed significant differences in the docking energy estimates as a function of ligand and target structures (p<0.01). Van der Waals and electrostatic contributions were also significantly influenced by ligand selection and collagen structure. Both MDP and MDPCa appear to be important in the overall interactions. Binding assay studies also lend evidence of collagen-ligand intermolecular interactions. It is suggested that the ability of self-etch dentin primer systems to bond effectively to dentin is not limited to the interaction of the primer with the hydroxyapatite of dentin, but also due to the ability to prime dentin efficiently through intermolecular interactions between the primer and its calcium salt with the collagen matrix. Virtual screening methods may be very valuable to select primer molecules for dentin bonding.

Effect of dentin depth on hybridization quality using different bonding tactics in vivo

OBJECTIVES

Incomplete resin infiltration and polymerization of adhesive contributed to nanoleakage formation. This study tested the null hypothesis that adoption of different bonding tactics and dentine depth will not affect hybridization quality in vivo.

METHODS

Class V cavities were prepared on the labial/buccal surface of monkey teeth. They were bonded by Single Bond (a two-step total-etch adhesive), Clearfil SE Bond (a two-step self-etch adhesive), or Clearfil S(3) Bond (an all-in-one self-etch adhesive). Combined nanoleakage analysis and quantitative immunolabeling evaluation were carried out in the hybrid layer formed in both cervical superficial and deep dentine.

RESULTS

Single Bond showed reticular and spotted nanoleakage while Clearfil SE Bond and Clearfil S(3) Bond presented only a spotted one. While Single Bond showed increased concentration of labeling of type I collagen within the deep part of the hybrid layer, two self-etch adhesives-Clearfil SE Bond and Clearfil S(3) Bond revealed a homogeneous labeling pattern, even if the latter presented a significantly increased labeling index in deep dentine.

CONCLUSIONS

Different bonding tactics showed different nanoleakage patterns and immunolabeling index, and was influenced by dentine depth at different levels in vivo.

Adhesive analysis of voids in Class II composite resin restorations at the axial and gingival cavity walls restored under in vivo versus in vitro conditions

OBJECTIVES

Adhesive analysis, under the scanning electron microscope of microtensile specimens that failed through the adhesive interface, was conducted to evaluate the amount of voids present at the axial versus gingival cavity walls of class II composite restorations restored under in vivo and in vitro conditions.

METHODS

Five patients received class II resin composite restorations, under in vivo and in vitro conditions. A total of 14 premolar teeth yielded 59 (n=59) microtensile adhesive specimens that fractured through the adhesive interface. The fractured surfaces of all specimens were examined and the % area of voids was measured.

RESULTS

Voids at the adhesive joint were highly predictive of bond strengths. An increase in the number of voids resulted in a decrease in the microtensile bond strength. The area of voids at the adhesive interface was as follows: in vivo axial 13.6+/-25.6% (n=12); in vivo gingival 48.8+/-29.2% (n=12); in vitro axial 0.0+/-0.0% (n=19) and in vitro gingival 11.7+/-17.6% (n=16).

SIGNIFICANCE

Composite resin may bond differently to dentin depending upon the amount of voids and the cavity wall involved. The bond to the gingival wall was not as reliable as the bond to the axial wall. An increase in the amount of surface voids was a major factor for reducing microtensile bond strengths of adhesive to dentin.

A 2-year evaluation of moisture on microtensile bond strength and nanoleakage

OBJECTIVES

This study evaluated the effect of moisture on the resin-dentin mu-bond strength (BS) and silver nitrate uptake (SNU) of three adhesive systems (Single Bond, One-Step and Syntac Single Component) soon after bonding (IM) and after 2 years of water storage (2Y).

METHODS

Dentin surfaces were bonded on a dry (D), moist (W) or over-wet surfaces (OW). After restorations were constructed, specimens were stored in water (37 degrees C/24h). Resin-dentin sticks were prepared (0.8mm(2)) and they were divided for immediate (IM) and 2-year storage (2Y) testing. Half of the specimens from each period of time were tested in tension at 0.5mm/min and the other half was immersed in silver nitrate and examined by SEM-EDX. The data was analyzed by three-way repeated measures ANOVA and Tukey's tests (alpha=0.05).

RESULTS

The overall BS (MPa) in the IM group under W condition was higher than in D and OW groups. After 2Y, the BS in W was lower than in the IM group, however higher than in the D and OW for OS and SB. The overall silver nitrate deposition (%) in the IM group under D, W and OW were similar. In the 2Y groups, the nanoleakage was higher than IM groups, however the increase was less pronounced in the W condition.

SIGNIFICANCE

Higher BS and a significantly lower nitrate uptake were observed for IM groups, for OS and SB. Under W conditions, the BS reduction over time was less pronounced and less nitrate uptake occurred.

The Effect of Collagen Removal on Penetration Depth of Dentin Adhesive System

Thirty sound human upper premolars were used to evaluate the in vitro effect of collagen removal from the acid-etched dentin surface on the penetration depth of three types of dental adhesive systems. Standardised buccal and lingual class V cavities were made and the teeth were then subdivided randomly into six groups five teeth each. Three types of dental adhesive systems were used (syntac sprint, Vivadent-Liechtenstein. Syntac single component, Vivadent-Liechtenstein. PQ1> Ultra Dent-USA). The bonds were used with and without deproteinization (10% Sodium hypochlorite for one minute). The highest mean of penetration depth (10.15 jl) was recorded in the group where the PQ1 bond was used on acid-etched and NaOCl-treated dentin. The lowest mean of penetration depth (5.77jl) was recorded where the Syntac Single Component bond was used on the acid-etched dentin surface.

Conclusion: A one minute application of 10% sodium hypochlorite on conditioned dentin significantly increases the penetration depth regardless of the type of adhesive system used. Alcohol-containing systems showed the greatest penetration.

Systematic review of the chemical composition of contemporary dental adhesives

Dental adhesives are designed to bond composite resins to enamel and dentin. Their chemical formulation determines to a large extent their adhesive performance in clinic. Irrespective of the number of bottles, an adhesive system typically contains resin monomers, curing initiators, inhibitors or stabilizers, solvents and sometimes inorganic filler. Each one of these components has a specific function. The aim of this article is to systematically review the ingredients commonly used in current dental adhesives as well as the properties of these ingredients. This paper includes an extensive table with the chemical formulation of contemporary dental adhesives.

Chemical profile of adhesive/caries-affected dentin interfaces using Raman microspectroscopy

In clinical practice, dentists must frequently bond adhesives to caries-affected dentin substrates, but the bond that characteristically forms with these substrates does not provide the durability necessary for long-term clinical function. The purpose of this study was to characterize and compare the interfacial chemistry of adhesive with caries-affected and noncarious dentin using micro-Raman spectroscopy. The results indicated that the differences in the Raman spectra between noncarious and caries-affected dentin could not be accounted for by simple decreased mineralization. Both the structure of collagen and mineral in the caries-affected dentin has been altered by the caries process. The differences in structure and composition not only interfered with acid-etching process but also subsequent resin monomer penetration. It was shown that the interface between the adhesive and caries-affected dentin was wider and more complicated than that of the adhesive and noncarious dentin. As a result of adhesive phase separation, a structurally integrated hybrid layer did not form at the interface with either caries-affected or noncarious dentin. Using chemical imaging techniques, this study provides the direct evidence of adhesive phase separation at the interface with caries-affected dentin. Although our group previously reported adhesive phase separation at the interface with noncarious dentin, the chemistry of caries-affected dentin leads to greater variability and a more highly irregular composition along the length and breadth of the interface.

Multiscale mechanics of hierarchical structure/property relationships in calcified tissues and tissue/material interfaces

This paper presents a review plus new data that describes the role hierarchical nanostructural properties play in developing an understanding of the effect of scale on the material properties (chemical, elastic and electrical) of calcified tissues as well as the interfaces that form between such tissues and biomaterials. Both nanostructural and microstructural properties will be considered starting with the size and shape of the apatitic mineralites in both young and mature bovine bone. Microstructural properties for human dentin and cortical and trabecular bone will be considered. These separate sets of data will be combined mathematically to advance the effects of scale on the modeling of these tissues and the tissue/biomaterial interfaces as hierarchical material/structural composites. Interfacial structure and properties to be considered in greatest detail will be that of the dentin/adhesive (d/a) interface, which presents a clear example of examining all three material properties, (chemical, elastic and electrical). In this case, finite element modeling (FEA) was based on the actual measured values of the structure and elastic properties of the materials comprising the d/a interface; this combination provides insight into factors and mechanisms that contribute to premature failure of dental composite fillings. At present, there are more elastic property data obtained by microstructural measurements, especially high frequency ultrasonic wave propagation (UWP) and scanning acoustic microscopy (SAM) techniques. However, atomic force microscopy (AFM) and nanoindentation (NI) of cortical and trabecular bone and the dentin-enamel junction (DEJ) among others have become available allowing correlation of the nanostructural level measurements with those made on the microstructural level.

The role of acrylophosphonic acid monomers in the formation of hybrid layers based on self-etch adhesives

The role of acrylophosphonic acid monomers in the formation of hybrid layers based on self-etch adhesives.

OBJECTIVES

Our plan was to define the reaction products formed when an acrylophosphonic acid reacts with tooth hard tissue. Our aim was to describe the incorporation of the reaction products in the hybrid layer formed.

METHODS

Potentiometric methods were used to measure acid dissociation constants and investigate calcium complex formation. Infrared spectroscopy and NMR were used to follow water contents and show transformation of phosphorous containing compounds.

RESULTS

The acrylophosphonic acid contained in AdheSE (Ivoclar Vivadent, Schaan, Liechtenstein) is characterized by two acidities with pK(a1)=2.4 and pK(a2)=7.0, and interacts with calcium ions in a purely ionic fashion. When hydroxyapatite crystals are dissociated by the presence of AdheSE, brushite is formed together with a calcium cross-linked network of the phosphonate containing copolymer.

CONCLUSION

The results give a new image of the hybrid layer where the adhesive behaves like an ionomer resin incorporating collagen but also minerals and salt bridges.

Infiltration/evaporation-induced shrinkage of demineralized dentin by solvated model adhesives

During dentin bonding, solvated adhesive comonomers are applied to water-saturated decalcified dentin matrices. When alcohol-solvated hydrophilic or hydrophobic methacrylate monomers are applied, they chemically remove water and cause matrix shrinkage during comonomer infiltration. Evaporation of solvent induces further shrinkage. The purpose of this work was to compare the shrinkage of water-saturated dentin matrices infiltrated with ethanol- or methanol-solvated 2-hydroxyethyl methacrylate (HEMA), 2,2-bis[4(2-hydroxy-3-methacryloyloxy-propyloxy)-phenyl] propane (BisGMA), or triethyleneglycol dimethacrylate (TEGDMA) at 90/10, 70/30, 50/50, and 30/70 mass fraction % alcohol/monomer before and after evaporation of alcohol. Thin (ca 0.2 mm) disks of human mid-coronal dentin were demineralized and placed in a well beneath the contact probe of a linear variable differential transformer (LVDT). The height of the matrix was measured before and after random application of one of the twelve alcohol/monomer mixtures. Matrix height was measured during infiltration and during solvent evaporation. Between trials, residual monomer was extracted using ethanol. These studies were repeated on specimens in which 100% alcohol was used to substitute for water in the matrix. Both studies revealed that matrices shrink 30-50% but that pretreatment of matrices with alcohol prevents BisGMA phase separations from occurring. Wet bonding with ethanol instead of water permits infiltration of relatively hydrophobic alcohol/monomers.

In vitro microtensile bond strength of four adhesives tested at the gingival and pulpal walls of Class II restorations

BACKGROUND

The authors compared the microtensile bond strength of teeth restored with four adhesives at the gingival and pulpal cavity walls of Class II resin-based composite restorations.

METHODS

Five pairs of extracted third molars received two Class II preparations/restorations in each tooth. The authors randomly assigned each preparation to one of four adhesive groups: Adper Scotchbond Multipurpose Dental Adhesive (SBMP) (3M ESPE, St. Paul, Minn.), Clearfil SE Bond (CFSE) (Kuraray America, New York City), Prime & Bond NT (PBNT) (Dentsply Caulk, Milford, Del.) and PQ1 (Ultradent, South Jordan, Utah). They restored the teeth and obtained microtensile specimens from each cavity wall. Specimens were tested on a testing machine until they failed.

RESULTS

The mean (+/- standard deviation) bond strengths (in megapascals) were as follows: SBMP (pulpal), 36.4 (17.2); SBMP (gingival), 29.7 (15.3); CFSE (pulpal), 50.8 (13.6); CFSE (gingival), 50.2 (14.0); PBNT (pulpal), 38.3 (19.2); PBNT (gingival), 38.9 (17.7); PQ1 (pulpal), 58.7 (8.7); and PQ1 (gingival), 54.5 (18.5). A two-way analysis of variance found an adhesive effect (P < .001) but no location effect (P >.05).

CONCLUSIONS

PQ1 and CFSE performed the best. The results showed no significant difference in microtensile bond strength at the gingival wall versus the pulpal wall.

CLINICAL IMPLICATIONS

Under in vitro conditions, a total-etch ethanol-based adhesive (PQ1) failed cohesively more often than did the other adhesives tested.

Effects of etching time of primary dentin on interface morphology and microtensile bond strength

OBJECTIVES

To determine the influence of different etching times (5, 15 or 30 s) on the morphology and micro-tensile bond strength (muTBS) of primary dentin.

METHODS

For muTBS study, nine primary molars were randomly distributed in three experimental groups. Three Class I cavities per tooth were drilled and etched (37% orthophosphoric acid gel for 5, 15 or 30 s). Excite adhesive was applied and cavities restored with a resin composite (Tetric Ceram). Composite/dentin bars (ca. 1 mm2 section) were obtained from teeth and tested in tension until debonding. Means of muTBS results were compared with ANOVA and Student-Neuman-Keuls post hoc tests. Morphology: Three occlusal cavities were prepared in five primary molars. Each cavity was etched and restored as described for previous groups and teeth were sectioned mesio-distally. One half of each tooth was prepared for using under optical microscopy using Masson's trichromic dye technique and the other half was examined by SEM.

RESULTS

muTBS mean (S.D.) results (in MPa) were 5 s etch: 6.20 (2.81), 15 s: 13.43 (5.91), 30 s: 13.04 (5.67). muTBS groups were Excite 5 s < Excite 15 s = Excite 30 s. Masson's trichromic technique stained the demineralized dentin layer red in all specimens. The mean (S.D.) thickness of the demineralized layers (in mu) were 5 s: 3.28 (1.23), 15 s: 3.83 (1.26), 30 s: 4.44 (1.70). There is a statistically significant linear relationship between time of application of etching and mean depth of demineralized layer. This relationship was established as depth (in mu) = 3.08 + 0.05 time (in s).

SIGNIFICANCE

The minimum adequate etching time for primary dentin is 15s.

Long-term TEM analysis of the nanoleakage patterns in resin-dentin interfaces produced by different bonding strategies

OBJECTIVES

The aim of this study was to evaluate the ability of etch-and-rinse and self-etching adhesive systems to prevent time- and water-induced nanoleakage in resin-dentin interfaces over a 6-month storage period.

METHODS

Five commercial adhesives were tested, which comprise three different strategies of bonding resins to tooth hard tissues: one single-step self-etching adhesive (One-up Bond F (OB), Tokuyama); two two-step self-etching primers (Clearfil SE Bond (SE) and an antibacterial fluoride-containing system, Clearfil Protect Bond (CP), Kuraray Inc.); two two-step etch-and-rinse adhesives (Single Bond (SB), 3M ESPE and Prime&Bond NT (PB), Dentsply). Restored teeth were sectioned into 0.9 mm thick slabs and stored in water or mineral oil for 24 h, 3 or 6 months. A silver tracer solution was used to reveal nanometer-sized water-filled spaces and changes that occurred over time within resin-dentin interfaces. Characterization of interfaces was performed with the TEM.

RESULTS

The two two-step self-etching primers showed little silver uptake during the 6-month experiment. Etch-and-rinse adhesives exhibited silver deposits predominantly within the hybrid layer (HL), which significantly increased for SB after water-storage. The one-step self-etching adhesive OB presented massive silver accumulation within the HL and water-trees protruding into the adhesive layer, which increased in size and quantity after water-storage. After storage in oil, reduced silver deposition was observed at the interfaces for all groups.

SIGNIFICANCE

Different levels of water-induced nanoleakage were observed for the different bonding strategies. The two-step self-etching primers, especially the antibacterial fluoride-containing system CP, showed the least nanoleakage after 6 months of storage in water.

Parametric study of the effect of phase anisotropy on the micromechanical behaviour of dentin-adhesive interfaces

A finite element (FE) model has been developed based upon the recently measured micro-scale morphological, chemical and mechanical properties of dentin-adhesive (d-a) interfaces using confocal Raman microspectroscopy and scanning acoustic microscopy (SAM). The results computed from this FE model indicated that the stress distributions and concentrations are affected by the micro-scale elastic properties of various phases composing the d-a interface. However, these computations were performed assuming isotropic material properties for the d-a interface. The d-a interface components, such as the peritubular and intertubular dentin, the partially demineralized dentin and the so-called "hybrid layer" adhesive-collagen composite, are probably anisotropic. In this paper, the FE model is extended to account for the probable anisotropic properties of these d-a interface phases. A parametric study is performed to study the effect of anisotropy on the micromechanical stress distributions in the hybrid layer and the peritubular dentin phases of the d-a interface. It is found that the anisotropy of the phases affects the region and extent of stress concentration as well as the location of the maximum stress concentrations. Thus, the anisotropy of the phases could effect the probable location of failure initiation, whether in the peritubular region or in the hybrid layer.

Interfacial chemistry of moisture-aged class II composite restorations

Under in vivo conditions, the adhesive/dentin bond at the gingival margin of class II composite restorations can be the first defense against substances that may penetrate and ultimately undermine the composite restoration. Deterioration of this bond during aqueous aging is an area of intense investigation, but to date, the majority of our techniques have provided only an indirect assessment of the degrading components. The purpose of this study was to analyze the in situ molecular structure of adhesive/dentin interfaces in class II composite restorations, following aging in aqueous solutions. Class II preparations were cut from 12 unerupted human third molars, with a water-cooled, high-speed, dental handpiece. The prepared teeth were randomly selected for restoration with single bond (SB) and Z100 (3M). Teeth were restored, as per the manufacturer's directions, under environmental conditions that simulated humidity and temperature characteristics of the oral cavity. Restored teeth were kept in sterile Delbecco's phosphate saline for 48 h or 90 days. The samples were sectioned occlusogingivally and micro-Raman spectra were acquired at approximately 1.5 microm spatial resolution across the composite/adhesive/dentin interfaces at the gingival margins. Samples were wet throughout spectral acquisition. The relative intensity of bands associated with the adhesive in the interfacial region decreased dramatically after aqueous storage. This decrease in concert with the similar depth of dentin demineralization provides direct spectroscopic evidence of leaching of adhesive monomer from the interface during the 90 days of storage. SB adhesive infiltrated 4-5 microm of 12-microm demineralized dentin at the gingival margin. After 90 days of aqueous storage, SB adhesive infiltration was reduced to approximately 2 microm, leaving approximately 10 microm of demineralized dentin collagen exposed at the gingival margin. The unprotected collagen at the gingival margin of the aged class II composite restorations was disorganized, suggesting hydrolysis of the collagen, with 90 days of aqueous storage.

Histomorphologic characterization of noncarious and caries-affected dentin/adhesive interfaces

PURPOSE

The purpose of this study was to compare the dentin/adhesive interfacial characteristics when bonding to noncarious as well as caries-affected dentin.

MATERIALS AND METHODS

Seven extracted, unerupted, third molars were sectioned into halves. Artificial caries was created on one-half of each tooth, leaving the other half as a control. Dentin surfaces were treated with UNO adhesive according to the manufacturer's instructions for the wet-bonding technique and under environmental conditions present in the oral cavity. Dentin/adhesive interface sections of each half-tooth were stained with Goldner's trichrome, a classic bone stain, and examined using light microscopy. The width of exposed collagen was measured directly from photomicrographs, and adhesive penetration was analyzed qualitatively.

RESULTS

The degree and extent to which the adhesive encapsulated the demineralized dentin matrix were reflected in the color difference in the stained sections with the noncarious dentin sections showing a degree of collagen encapsulation superior to that of the caries-affected dentin sections. The overall mean widths of exposed collagen were significantly (p < or = .05) greater at the caries-affected dentin/adhesive interface, 8.6 (1.7) microm, as compared with those at the noncarious dentin/adhesive interface, 6.0 (1.5) microm.

CONCLUSIONS

The morphologic characteristics of the caries-affected dentin/interface suggest an increase in the exposed collagen zone and a decrease in the quality of the adhesive infiltration when compared with noncarious dentin. The evidence suggests that dentin substrate characteristics have a significant effect on the dentin/adhesive interface structure.